我国地区级卫生总费用比较分析

Comparison Analysis of Regional Health Expenditure in China

目的:通过对中国21个省区的卫生费用水平、筹资构成等进行比较分析,旨在深入研究我国卫生筹资特点及地区差异。方法:各地区按照国内卫生费用核算标准方法,利用统一口径收集数据,并进行规范的数据核算,结果具有可比性。结果:发现各地区人均卫生费用与其经济发展水平明显呈正相关,但卫生总费用相对于地区生产总值比重与经济发展水平呈负相关。"新医改"以来卫生筹资结果明显改善,各地由于经济发展水平和城镇化程度不同,对公共筹资不同方式的依赖程度有所差别,政府卫生支出在经济欠发达地区作用更为重要。结论:"新医改"以来,各地区卫生总费用均快速增长,卫生筹资结构优化。鼓励各地区探索适合自身社会经济发展特征的筹资机制,在未来公共筹资的主要模式上做出不同选择。

Objective： To go deep into the health financing feature and regional disparity in total health expenditure, through comparison analysis of health financing amount and financing structure, in 21 provinces/municipalities of China. Methods： Based on the unified data source and caliber, and the standard methodology, the estimate results are comparable among regions. Results： Per capita expenditure is positive correlated with economic development level in regions, while the share of total health expenditure as GDP is negative correlated with economic development level. Since the initiation of health care system reform, health care financing structure has improved significantly, but due to the variation of economic development and urbanization, the dependence on public financing is different, and government health expenditure plays a more important role in underdeveloped regions. Conclusion： Since the start of health system reform, total health expenditure sees a rapid increase for all regions, and health financing structure optimization. Each region should be encouraged to explore health financing scheme which is suitable for regional social economic reality and opt for distinguished public financing mode in future.